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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Recurrent Pain In The Chest Indicate?

Hey! I have been having on and off chest pains since August 2016. Even when I am not having the chest pains, I have shortness of breath. It feels like I cannot get enough air in. I have been to multiple doctors, and they have ruled out my heart. They decided it's not acid reflux. They have been saying that the only thing they can think of is pleurisy. From the research I have done, pleurisy doesn't last this long. Is there anything else you can think of it being?
Tue, 14 Nov 2017
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Ayurveda Specialist 's  Response
Thanks for contacting with your health concern.

1. As symptoms are recurrent, it is wise to consult a chest specialist since they are still persisting and as chest pain is related to the chest wall, the following should be the symptomwise approach:

i .Think of fracture rib, new or old.
ii. Think of costochondritis, very common anteriorly
iii. Think of muscle sprain

PS. One may consult a Cardiologist to exclude precordial catch syndrome. [PCS] which is a nonserious condition affecting the left side of the anterior chest wall and/or pericarditis.

2. If by adopting
- hot water fomentation
- rest with minimal movements
- chest strapping
- intercostal nerve block
- taking an analgesic, anti-inflammatory enzymes, and muscle relaxant, the pain goes away continue with the same, however, if the pain is not relieved to ask for Hb%, WBC, ESR & X-ray Chest [pain could be a pleural pathology to exclude pleuritis, pleural effusion]

3. Other common causes to exclude is/are digestive issues [excess gas, gastritis], stress

PS. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment.
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What Does Recurrent Pain In The Chest Indicate?

Thanks for contacting with your health concern. 1. As symptoms are recurrent, it is wise to consult a chest specialist since they are still persisting and as chest pain is related to the chest wall, the following should be the symptomwise approach: i .Think of fracture rib, new or old. ii. Think of costochondritis, very common anteriorly iii. Think of muscle sprain PS. One may consult a Cardiologist to exclude precordial catch syndrome. [PCS] which is a nonserious condition affecting the left side of the anterior chest wall and/or pericarditis. 2. If by adopting - hot water fomentation - rest with minimal movements - chest strapping - intercostal nerve block - taking an analgesic, anti-inflammatory enzymes, and muscle relaxant, the pain goes away continue with the same, however, if the pain is not relieved to ask for Hb%, WBC, ESR & X-ray Chest [pain could be a pleural pathology to exclude pleuritis, pleural effusion] 3. Other common causes to exclude is/are digestive issues [excess gas, gastritis], stress PS. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment.